Active NPI
Brian D Shannon, M.D.
- Orthopaedic Surgery Physician
- Hermitage, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD418206
- Practice address
- 752 Brookshire Dr
Suite 3
Hermitage, PA 16148-4510 - Phone
- (724) 981-9310
- Fax
- (724) 981-9312
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD418206 | PA | |
| Orthopaedic Surgery Physician | 207X00000X | MD418206 | PA | Primary |
Addresses
Primary practice location
752 Brookshire Dr
Suite 3
Hermitage, PA 16148-4510
Mailing address
752 Brookshire Dr
Suite 3
Hermitage, PA 16148-4510
Phone (724) 981-9310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019085590010 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Georgetown University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
2000 Westinghouse Dr
Cranberry Township, PA 16066-5238
752 Brookshire Dr
Suite 3
Hermitage, PA 16148-4510
Phone (724) 981-9310
7630 Southern Blvd
Youngstown, OH 44512-5633
7641 Market St
Suite 2
Youngstown, OH 44512-5980
Phone (330) 965-4950
Hospital & facility affiliations
- Southwoods Health at Home LLC
- Family Home Health LP
- Patriot Homecare, Inc
- Surgical Hospital at Southwoods
- Sharon Regional Medical Center
- Upmc Horizon
- MH St Elizabeth Youngstown Hospital
- Grove City Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 71.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 19 |
| Knee replacement | 12 |
| Spinal fusion | 30 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD418206 | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triad Health Services, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Steward Sharon Regional Health System, Inc. | Past | Accepting new patients | |
| The Surgery Center at Southwoods, LLC | Past | Accepting new patients |
Locations
100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828
250 Debartolo Pl
Ste C
Youngstown, OH 44512
7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480
7641 Market St
Ste 2
Youngstown, OH 44512
Phone (330) 726-0156
250 Debartolo Pl
Ste B
Youngstown, OH 44512
Phone (234) 683-1015
752 Brookshire Dr
Ste 3
Hermitage, PA 16148
Phone (724) 718-4259
Interoperability endpoints
- brian.shannon.1@33638.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Youngstown, OH
- NPI 1588925457
Orthopaedic Surgery, PA
-
- General Acute Care Hospital
- Sharon, PA
- NPI 1790219616
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Monroeville, PA
- NPI 1881108272
-
- General Acute Care Hospital
- Grove City, PA
- NPI 1023000296
-
- General Acute Care Hospital
- Sharon, PA
- NPI 1235940909
-
- Psychiatric Hospital Unit
- Sharon, PA
- NPI 1659182269
-
- General Acute Care Hospital
- Greenville, PA
- NPI 1225048838
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- Home Health Agency
- Girard, OH
- NPI 1598061418
-
- Home Health Agency
- Youngstown, OH
- NPI 1023788940
-
- Special Hospital
- Youngstown, OH
- NPI 1740398890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457395200000",
"number": "1891765673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 BROOKSHIRE DR",
"address_2": "SUITE 3",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161484510",
"telephone_number": "724-981-9310",
"fax_number": "724-981-9312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "752 BROOKSHIRE DR",
"address_2": "SUITE 3",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161484510",
"telephone_number": "724-981-9310",
"fax_number": "724-981-9312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "BRIAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2016-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD418206",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD418206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019085590010",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.